Behavioral Health Advocate, Case Management - Remote

UnitedHealth Group•Eden Prairie, MN

11d•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral Health Care Advocate you will be responsible for case management of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan.

Requirements

One of the following: Independently Licensed Clinician with a Master’s degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling Licensed Ph.D. Registered Nurse with 2+ years of experience in behavioral health
Licenses must be active and unrestricted in the state of residence
2+ years of post-licensure experience in a related mental health environment
Intermediate level proficiency in MS Office Suite including Word, Teams, and Excel
Dedicated, distraction-free workspace in home
Access to reliable high-speed internet in home (Cable Broadband, DSL, Fiber)

Nice To Haves

BSN (for RNs)
1+ years of case management experience
Discharge planning experience
Chart review experience
Medical/Behavioral setting experience (i.e., hospital, managed care organization, or joint medical/behavioral outpatient practice)
Dual diagnosis experience with mental health and substance abuse
Experience working with the geriatric population
Experience working with eating disorders
Experience consulting with facility and/or hospital staff to coordinate treatment plans
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients

Responsibilities

Provide case management for eligible individuals, supporting members and their families throughout the treatment continuum
Complete discharge follow-ups and provide discharge planning support when needed
Educate members and involve caregivers in care planning and interventions
Advocate for members and families, providing caregiver support and referrals as needed
Ensure members understand treatment options and are connected to appropriate resources
Promote member health, wellness, and optimal psychosocial functioning by identifying caregiver gaps and facilitating education and respite support
Assess member needs holistically to identify and address care gaps
Collaborate with providers using solid customer service and communication skills
Maintain accurate and timely clinical documentation
Participate in clinical rounds and contribute to quality improvement initiatives
Conduct condition-specific research to support member care
Document success stories to highlight program impact